Bruce David Glassman (NPI# 1730151119, PAC ID# 4385742048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1730151119 |
| PAC ID by PECOS | 4385742048 |
| Professional Enrollment ID | I20110531000420 |
| Full Name | Bruce David Glassman |
| Organization Legal Name | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Address |
4660 Kenmore Ave Suite 500 Alexandria VA 22304-1300 |
| Phone Number | 7033700073 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9436438538 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 | 7033700073 | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheri Adgerson | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Emily A Grisnik | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Amanda Unalivia | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Reem K Tadros | Dermatology | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Marvin Chadab | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| David A Kon | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Lucrisha M Banford | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Danielle Baruch | Dermatology | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Tania Milling | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Street Address |
4660 KENMORE AVE SUITE 500 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22304-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ahdoot | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Stefano F Agolini | General Surgery | 4660 Kenmore Ave, Suite 419, Alexandria, VA 22304-1306 | |
| Cheri Adgerson | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Samita Sally Goyal | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Dodd A. Sims | Internal Medicine | Nv Healthcare Partners Inc | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1306 |
| Azra Ashraf | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Tabitha Andre | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Nicholas Ellyn | Ophthalmology | Richard Huberman M.d. and Alan J. Pollack M.d., Ltd. | 4660 Kenmore Ave, Suite 416, Alexandria, VA 22304-1306 |
| Soraia Dpm Refq | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Nora Graham | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marvin Chadab | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Ronald Barkin | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| Carla E Ribeiro-bachtell | Podiatry | 4660 Kenmore Ave, Suite 602, Alexandria, VA 22304-1300 | |
| Joel M Temme | Internal Medicine | 4660 Kenmore Ave, Suite 604, Alexandria, VA 22304-1300 | |
| Suresh K Malhotra | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| David Giammittorio | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Jeffrey L Graziano | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Anne C Kisthardt | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Jeffrey R Rothman | Oral Surgery | Alexandria Oral Surgery, PC | 4660 Kenmore Ave, Suite 204, Alexandria, VA 22304-1306 |
| Maria Concepcion D Asesor | Internal Medicine | Nv Healthcare Partners Inc | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1306 |
| Find all physicians in zip 22304 | |||
| City | ALEXANDRIA |
| Zip Code | 22304 |
| Specialty | DERMATOLOGY |
| City + Specialty | ALEXANDRIA + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.